Sudden severe upper-abdominal pain that radiates to the back, with or without vomiting, is a reason to stop the medication and call your provider
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Work with your GP or a registered dietitian to ensure your eating plan provides adequate protein, healthy fats, and complex carbohydrates
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When to seek medical attention: Severe, persistent vomiting or diarrhoea that prevents adequate fluid intake Signs of dehydration (dark urine, dizziness, reduced urination) Severe abdominal pain, particularly if radiating to the back (possible pancreatitis) Right upper abdominal pain, fever or jaundice (possible gallbladder disease) Symptoms of lactic acidosis (unusual muscle pain, difficulty breathing, severe fatigue, stomach discomfort) Any visual changes if you have diabetes, particularly with pre-existing retinopathy Reduced urine output or swelling (possible kidney problems) Most side effects improve within 4-8 weeks as your body adjusts to the medications
These steps protect muscle, keep metabolism steady and push results back up